影响颈部触觉语颤法的相关因素探讨

Discussion of the Relative Factors Impacting Neck Vocal Fremitus Palpation

目的初步探讨影响颈部触觉语颤法的相关因素。方法对我院2001—2002年门诊的喉部病人，常规进行颈部触觉语颤检查，初步喉部病变部位定位。再行纤雏支气管镜检查。将结果进行对比，并分析影响颈部触觉语颤法的相关因素。结果声带一侧病变（声带息内、声带麻痹、声带新生物）。阳性率为97％；声带两侧不对称病变。阳性率为56％；声带两侧对称病变（声带小结、慢性喉炎）及不累计声带的病变（声门上、声门下、慢性咽炎）没有判定价值。病人胖瘦、年龄、病变的大小及范围与颈部触觉语颤法相关（P〈0．05）。病人性别、病程、病变的性质与颈部触觉语颤法不相关（P〉0．05）。结论颈部触觉语颤法简单、方便，在临床上对单侧声带病变度病变较重侧声带的定位有应用价值。病人胖瘦、年龄、病变的大小及范围影响颈部触觉语颤法的检查。

Objective To discuss the relative factors impacting neck vocal fremitus palpation. Methods First routin neck vocal fremitus palpation examination and then biber bronchial endoscope examination were given to 956 outpatients with lamgeal diseases and the results were compared and analysed. Results Compared with fiber bronchial endoscope, the positive finding of palpation in unilateral diseases （polyp of vocal cord, vocal paralysis and vocal neoplasm） was 97 % and that in bilateral unbalanced diseases was 56% ;bilateral balanced diseases （vocal nodule and chronic laryngitis ） and other disease （supraglottie and subglottie） were not valuable for consideration; Factors such as weight,age,range and dimension of pathology,are relative to neck vocal fremitus palpation （ P 〈 0.05 ） while the pathological characteristics had no significance （ P 〈 0.05 ）. Conclusions Neck vocal fremitus palpation is simple and has clinical value in detecting unilateral laryngeal diseases or serious lateral laryngeal diseases ; weight, age, range and dimension of pathology are relative factors.